SHANNON B. I BEAUSOLEIL (MD) – Pediatrics Physician, NPI 1942291653
Pediatrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,447 INTERNAL MEDICINE in CT
Provider Addresses for SHANNON B. I BEAUSOLEIL (MD)
1216 FARMINGTON AVE STE 202
WEST HARTFORD, CT 061072673
Phone: (860) 236-0331
Fax: (860) 263-8697
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,272.
Total Amount is formed as General ($1,272) + Research ($0) + Ownership ($0) = $1,272.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Novo Nordisk Inc ($422).
Total Amount
$1,272
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $422 |
| Lilly USA, LLC | $226 |
| PFIZER INC. | $102 |
| ALK-Abello, Inc | $82 |
| Currax Pharmaceuticals LLC | $70 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060127000149 | I | Internal Medicine | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 06107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | MA | |
| Internal Medicine | CT | |
| Internal Medicine | CT | |
| Family Practice | CT | |
| Nurse Practitioner | CT | |
| Internal Medicine, Addiction Medicine | CT | |
| Internal Medicine | CT | |
| Physician Assistant | CT | |
| Pediatric Medicine, Internal Medicine | NJ | |
| Internal Medicine | CT |
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